Provider Demographics
NPI:1316138787
Name:FRANK, ALAN G (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:G
Last Name:FRANK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W 75TH ST
Mailing Address - Street 2:4 P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1758
Mailing Address - Country:US
Mailing Address - Phone:212-799-1619
Mailing Address - Fax:212-496-7163
Practice Address - Street 1:235 W 75TH ST
Practice Address - Street 2:4 P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1758
Practice Address - Country:US
Practice Address - Phone:212-799-1619
Practice Address - Fax:212-496-7163
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045172-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN65701Medicare PIN